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Organization
PATRICK R. ELLENDER, M.D., L.L.C.
Active
Organization
PATRICK R. ELLENDER, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM MARE LEGENDRE M.B.A. (ADMINISTRATOR)
(985) 625-2200
Entity
Organization
Contact information
Practice address
604 N ACADIA RD, SUITE 508, THIBODAUX, LA 70301-4897
(985) 625-2200
(985) 625-2206
Mailing address
604 N ACADIA RD, SUITE 508, THIBODAUX, LA 70301-4897
(985) 625-2200
(985) 625-2206
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
236379
LA
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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